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Allergic desensitization shot

HISTORY:

Presents for  treatment

Allergies include: 

Type of immunotherapy: 

Frequency: 

Phase: 

Last shot:   ago,  reaction

Today's symptoms: 



Procedure:

Dose:  cc sc in  upper arm, lot number 

Observation: patient kept for  min post-injection for adverse reactions

Wheal at injection site: ,  cm in diameter



Post-procedure:

Advised to avoid strenuous activities for the next 2 hours

Instructed to report delayed reactions such as hives, swelling, or breathing difficulty

Next therapy: in  

HISTORY:

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